JP5731345B2 - Information processing system, medical information collection device, medical information collection method, medical information collection program, report information collection device, report information collection method, report information collection program, and patient terminal program - Google Patents

Description

  The present invention relates to a technology for an information processing system, a medical information collection device, a medical information collection method, a medical information collection program, a report information collection device, a report information collection method, a report information collection program, and a patient terminal program.

  2. Description of the Related Art Conventionally, there is a medical database server system having a database that stores a patient ID and patient biometric information, patient personal information, and diagnosis result information including patient chart information, examination information, medication information, and the like in association with each other (Patent Literature). 1).

  In addition, there is a medical information system that makes it possible to perform additional writing on medical information of a patient managed on a management server from an information processing apparatus at a medical institution and an information processing apparatus at the patient's home (Patent Document 2).

  Furthermore, there is a drug history information management device that manages drug history information between a patient and a pharmacy by storing the medication status transmitted from the patient's terminal (Patent Document 3).

JP 2011-039674 A JP 2011-028330 A International Publication No. 2006/126556

  In the conventional technique, medical information, drug history information, and the like created in a medical provision facility such as a pharmacy and a medical institution are managed by a database that is commonly used between the medical provision facility and the patient. Therefore, in general, persons whose use of personal information of patients is restricted, that is, medical staff (for example, doctors and pharmacists) in medical facilities and persons other than patients are patients managed on this database. Medical information and medical history information cannot be used.

  Further, in the conventional technique, generally, information that can be used by a person whose use of personal information of a patient is restricted is limited to information such as a medication situation created by the patient himself. Since these pieces of information are created by the patient himself, the reliability of the information depends on the diligence and knowledge amount of the patient. Therefore, in general, the reliability of information that can be used by a person whose use of personal information of patients is restricted is lower than that of information created at a medical facility.

Under such circumstances, in recent years, among those who are restricted in the use of patient personal information, there is an increasing demand for the use of patient medical information and drug history information. For example, in recent years, sales of DTC (Direct To Consumer) in which pharmaceutical companies directly advertise drugs that require a doctor's prescription and drugs that do not require a doctor's prescription (Over The Counter drug, OCT) have become popular. ing.
For pharmaceutical companies that sell such drugs, the patient's individual traceability is guaranteed for reasons such as promoting drug sales and research and development, and patients about the drugs they sell. It is important to obtain information on the status and symptoms of taking.

  However, pharmaceutical companies are medical personnel and non-patients at medical facilities, and use of personal information of patients is restricted, so medical information and medical history information created at medical facilities are used. It is not possible. Information such as the medication status created by the patient himself, which is information that can be used by the pharmaceutical company, is less reliable than information such as medical information and medication history information created at the medical facility. As a result, pharmaceutical companies had to do their own research to obtain information on patient use and symptoms of drugs they sell.

  Thus, in recent years, there is an increasing demand for the use of patient medical information, drug history information, and the like by those who are restricted from using the patient's personal information. In particular, a pharmaceutical company that sells drugs that do not require a doctor's prescription is desired to be able to use medical information, drug history information, and the like of the patient as well as information such as the medication status created by the patient himself. On the other hand, in the conventional technology, a person whose use of the personal information of the patient is restricted cannot use the medical information or drug history information of the patient managed on the database. There was a problem that the request could not be fully met.

  The present invention has been made in consideration of such points, and is created in a medical facility while ensuring the traceability of individual patients in a situation where restrictions are imposed on the use of personal information of patients. It is an object of the present invention to provide a technique that can use information to be integrated with information created by a patient.

  The present invention employs the following configuration in order to solve the above-described problems.

  That is, the information processing system according to the present invention performs input of medical information provided by a medical worker to a patient on which medical information is created, and reporting information related to medication or symptoms reported by the patient. A patient-side terminal, a reporting information collection device that collects the reporting information, and a medical information collection device that collects the medical information.

And the information processing system of this invention is
Means for accepting input of the medical information in the medical provider side terminal;
Means for transmitting the medical information related to the input to the medical information collection device in the medical provider side terminal;
Means for receiving the medical information transmitted from the medical provider side terminal in the medical information collection device;
In the medical information collection device, means for storing the received medical information in association with personal information that can uniquely identify the patient;
In the patient terminal, means for requesting the medical information collection device to issue a patient identifier for identifying the patient in the reporting information collection device;
In the medical information collection device, in response to the request from the patient terminal, means for issuing the patient identifier in association with the personal information;
In the patient terminal, means for requesting the reporting information collection device to register the patient identifier issued by the medical information collection device;
In the reporting information collection device, the patient identifier can be used for statistical processing in response to the request from the patient-side terminal and is associated with a patient attribute that cannot uniquely identify the patient. Means for registering,
Means for accepting input of the reporting information in the patient terminal;
In the patient side terminal, means for transmitting the reporting information related to the input to the reporting information collecting device;
In the reporting information collection device, means for receiving the reporting information transmitted from the patient side terminal;
In the reporting information collection device, means for storing the received reporting information in association with the patient identifier registered by the patient related to the received reporting information;
In the reporting information collection device, the medical information accumulated in the medical information collection device for the patient identified by the registered patient identifier and specified by personal information corresponding to the registered patient identifier. Means for obtaining at least part of the information;
In the reporting information collection device, at least a part of the medical information acquired for the patient identified by the registered patient identifier and specified by the personal information corresponding to the registered patient identifier. And means for storing in association with the registered identifier for the patient.

  Here, a medical worker refers to a person who provides medical care in a medical supply facility. For example, a medical worker is a doctor, a dentist, a pharmacist, a nurse, or other medical personnel. Medical facilities refer to hospitals, clinics, health care facilities for the elderly, pharmacies that perform dispensing, and other medical facilities.

  In addition, patient attributes that can be used for statistical processing and cannot uniquely identify a patient include, for example, the patient's age, sex, and area code of the telephone number related to the place of residence, postal code of the place of residence , The area code of the telephone number related to the place of work, or the postal code of the place of residence. The patient attribute may be a combination of these attributes as long as the patient cannot be uniquely identified. That is, the patient attribute indicates an attribute in which the number of populations corresponding to the attribute exceeds 1.

  According to the above configuration, in the medical information collection device, medical information related to a patient is accumulated in association with personal information. And according to the request of a patient side terminal, a medical information collection device issues the patient identifier for identifying a patient in a report information collection device. The issued patient identifier is registered in the reporting information collection device in response to a request from the patient terminal. Furthermore, the patient identifier can be used for statistical processing in the reporting information collection device, and the patient attribute that cannot uniquely identify the patient, and the reporting information related to the medication or symptoms reported by the patient. It is matched with. The reporting information collection device acquires at least a part of the medical information stored in the medical information collection device for the patient identified by the patient identifier, and corresponds the acquired information to the patient identifier. Add and accumulate.

  That is, according to the above configuration, in the reporting information collection device, at least a part of the medical information, reporting information, and patient attributes are associated with the patient identifier. As a result, the reporting information collection device integrates at least a part of the medical information associated with the patient identifier, reporting information, and patient attributes without having personal information that can uniquely identify the patient. Can be used.

  Therefore, according to the above configuration, in a situation where restrictions are imposed on the use of the patient's personal information, the information created in the medical service facility and the information created by the patient are ensured while ensuring the traceability of the individual patient. Can be used in an integrated manner.

  According to another aspect of the present invention, in the information processing system, in the means for acquiring at least a part of the medical information, at least a part of the medical information is accumulated in the medical information collection apparatus. Difference information that is included in the medical information and that is not included in the accumulated reporting information may be acquired.

According to the above configuration, the reporting information collection apparatus accumulates reporting information and at least a part of medical information in a state where duplicate information is removed. Therefore, according to the above configuration, information can be efficiently accumulated.

As another embodiment of the present invention, the information processing system includes:
In the medical information collection device, at least a part of the reporting information stored in the reporting information collection device for the patient specified by the personal information and identified by the patient identifier corresponding to the personal information Means for obtaining the information of
In the medical information collection device, at least a part of the report information acquired for the patient specified by the personal information and identified by the patient identifier corresponding to the personal information is the personal information. Means for storing in association with,
May be further provided.

  According to the above configuration, in the medical information collection device, medical information and at least a part of the report information are accumulated in association with personal information. Therefore, according to the above configuration, medical information and reporting information can be used in an integrated manner even in the medical information collection device.

  According to another aspect of the present invention, in the information processing system, the means for obtaining at least a part of the report information is stored in the report information collection apparatus as at least a part of the report information. Difference information that is included in the reporting information and not included in the accumulated medical information may be acquired.

  According to the above configuration, the medical information collection device accumulates the medical information and at least a part of the report information in a state where the duplicate information is removed. Therefore, according to the above configuration, information can be efficiently accumulated.

As another embodiment of the present invention, the medical information collection device of the present invention is
Means for obtaining medical information created by a healthcare worker for a patient;
Means for storing the medical information in association with personal information capable of uniquely identifying the patient;
In the reporting information collection device that collects reporting information related to medication or symptoms reported by the patient, when acquiring at least part of the medical information stored in association with the personal information, the individual Patient identifier used for identifying the patient instead of information, which can be used for statistical processing in the reporting information collection device and cannot uniquely identify the patient And means for issuing a patient identifier associated with the personal information associated with at least a part of the medical information and the reporting information;
Is provided.

  According to the above configuration, the medical information created by the medical staff for the patient is stored in association with the personal information that can uniquely identify the patient. Further, in the reporting information collection device that collects reporting information related to medication or symptoms reported by the patient, when acquiring at least a part of the medical information stored in association with the personal information, Instead of personal information, a patient identifier is issued that is used to identify the patient. The patient identifier can be used for statistical processing in the reporting information collection device, and the patient attribute cannot uniquely identify the patient, at least part of the medical information, and the reporting Information.

That is, according to the said structure, the identifier for patients matched with at least one part information of medical information, report information, and a patient attribute is issued in the report information collection apparatus. Due to the issued patient identifier, the reporting information collection device does not have personal information that can uniquely identify the patient, and at least a part of the medical information associated with the patient identifier, reporting information, And patient attributes can be used in an integrated manner.

  Therefore, according to the above configuration, in a situation where restrictions are imposed on the use of the patient's personal information, the information created in the medical service facility and the information created by the patient are ensured while ensuring the traceability of the individual patient. Can be used in an integrated manner.

  As another form of the present invention, in the medical information collection device, the means for accumulating the medical information associates the medical information with personal information commonly used for the patient in different medical provision facilities. Accordingly, a plurality of pieces of medical information about the same patient created in the different medical provision facilities may be integrated into one piece of medical information.

  According to the above configuration, a plurality of pieces of medical information about the same patient created in different medical provision facilities based on personal information commonly used for the patients in different medical provision facilities is one piece of medical information. Integrated into. Therefore, according to the above configuration, it is possible to collectively manage a plurality of pieces of medical information for the same patient created in different medical provision facilities.

Moreover, as another aspect of the present invention, the medical information collection device includes:
Means for identifying a medical service facility in which the medical worker is engaged based on an identifier for the medical worker for identifying the medical worker;
Means for providing the one piece of integrated medical information after removing a part created in a medical service facility other than the specified medical service facility;
May be further provided.

  According to the said structure, a medical worker receives provision of medical information, after removing the part produced except the medical provision facility to which he belongs. As a result, the medical staff cannot use medical information created outside the medical service facility to which he belongs. Therefore, according to the said structure, it becomes possible to provide use restrictions between medical provision facilities.

As another form of the present invention, the reporting information collection device of the present invention is:
An identifier for a patient issued in association with the personal information in a medical information collection device that accumulates medical information created by the medical staff for the patient instead of personal information that can uniquely identify the patient Can be used for statistical processing and registered in association with a patient attribute that cannot uniquely identify the patient;
Means for obtaining reporting information related to medication or symptoms reported by the patient;
Means for storing the acquired reporting information in association with the patient identifier registered by the patient related to the acquired reporting information;
For the patient identified by the registered patient identifier and specified by the personal information corresponding to the registered patient identifier, at least a part of the medical information stored in the medical information collection device Means to obtain,
The patient identifier registered with at least a part of the medical information acquired for the patient identified by the registered patient identifier and specified by the personal information corresponding to the registered patient identifier Means for storing in association with,
Is provided.

According to the above configuration, in the reporting information collection device, a patient identifier is registered in association with a patient attribute instead of personal information that can uniquely identify a patient. The patient identifier is a medical information collecting apparatus that stores medical information created by the medical staff for the patient.
It is an identifier issued in association with personal information. The patient attribute is an attribute that can be used for statistical processing and cannot uniquely identify a patient. Here, the reporting information related to the medication or symptoms reported by the patient is stored in association with the patient identifier. Further, at least a part of the medical information related to the patient is stored in association with the patient identifier.

  In other words, according to the above configuration, at least a part of the medical information, the report information, and the patient identifier associated with the patient attribute are registered in the report information collection device. With the registered patient identifier, the reporting information collection device does not have personal information that can uniquely identify the patient, and at least a part of the medical information associated with the patient identifier, reporting information, And patient attributes can be used in an integrated manner.

  Therefore, according to the above configuration, in a situation where restrictions are imposed on the use of the patient's personal information, the information created in the medical service facility and the information created by the patient are ensured while ensuring the traceability of the individual patient. Can be used in an integrated manner.

As another form of the present invention, the reporting information collection device
Means for issuing a private identifier for identifying the patient;
Means for associating the patient identifier issued to the same patient with the private identifier;
May be provided.

  According to the above configuration, in order to identify the patient, the private identifier issued by the reporting information collection device and the patient identifier issued by the medical information collection device are associated with each other. Thereby, according to the said structure, at least some information of medical information matched with a patient identifier, report information, and a patient attribute can be integratedly used in the existing report information collection device. It becomes. Therefore, according to the said structure, implementation of this invention is attained using the existing installation.

Moreover, as another aspect of the present invention, the patient terminal program of the present invention is:
In patient terminal,
When the reporting information collection device that collects reporting information related to the medication or symptoms reported by the patient obtains at least a part of the medical information about the patient created by the health care professional, the patient is An identifier for a patient used in place of personal information that can uniquely identify the patient for identification, can be used for statistical processing in the reporting information collection device, and uniquely identifies the patient Requesting a medical information collection device that collects the medical information to issue a patient identifier associated with a patient attribute that cannot be identified and at least part of the information of the medical information;
Requesting the reporting information collection device to register the patient identifier issued in the medical information collection device;
Receiving an input of the reporting information;
In the reporting information collection device, transmitting the reporting information related to the input, which is associated with the patient identifier issued by the medical information collection device, to the reporting information collection device 2;
Is executed.

According to the said structure, issue of the patient identifier is requested | required of the medical information collection apparatus which collects the medical information about the patient produced by the medical worker. The patient identifier uniquely identifies the patient in order to identify the patient when the reporting information collection device obtains at least a part of the medical information about the patient created by the medical staff. Used in place of personal information that can be Note that the reporting information collection device collects reporting information related to medication or symptoms reported by the patient.

  Then, the patient identifier issued by the request is registered in association with the patient attribute in the reporting information collection device by a registration request made to the reporting information collection device. The patient identifier is associated with at least a part of the medical information in the reporting information collection device. The patient attribute is an attribute of a patient that can be used for statistical processing and cannot uniquely identify the patient.

  In other words, according to the above configuration, at least a part of the medical information, the report information, and the patient identifier associated with the patient attribute are registered in the report information collection device. With the registered patient identifier, the reporting information collection device does not have personal information that can uniquely identify the patient, and at least a part of the medical information associated with the patient identifier, reporting information, And patient attributes can be used in an integrated manner.

  Therefore, according to the above configuration, in a situation where restrictions are imposed on the use of the patient's personal information, the information created in the medical service facility and the information created by the patient are ensured while ensuring the traceability of the individual patient. Can be used in an integrated manner.

  As another aspect of the present invention, a single information processing apparatus, an information processing method, or a program that realizes each unit of the above information processing system may be used. However, it may be a storage medium that can be read by a computer, a device, a machine or the like in which such a program is recorded. Here, the computer-readable storage medium is a medium that stores information such as programs by electrical, magnetic, optical, mechanical, or chemical action.

  As another aspect of the present invention, the medical information collection device and the reporting information collection device described above may be configured by a plurality of information processing devices. Furthermore, as another aspect of the present invention, it may be an information processing method, a program, or such a program that realizes each means of the above medical information collection device or report information processing device. It may be a storage medium that can be read by a recorded computer, other devices, machines, or the like.

  Moreover, as another form of this invention, the information processing method which implement | achieves each step implement | achieved by the above program for patient side terminals may be sufficient, and the computer other apparatus, machine, etc. which recorded such a program include It may be a readable storage medium, or one or a plurality of information processing apparatuses.

  According to the present invention, in a situation where restrictions are imposed on the use of personal information of patients, information created at a medical facility and information created by a patient are integrated while ensuring the traceability of the individual patient. It is possible to provide a technique that can be used in an automated manner.

FIG. 1 illustrates an overview of an information processing system according to an embodiment. FIG. 2 illustrates the configuration of the medical information collection apparatus according to the embodiment. FIG. 3 illustrates the configuration of the reporting information collection device according to the embodiment. FIG. 4 illustrates the configuration of the patient side terminal according to the embodiment. FIG. 5 illustrates the configuration of the medical provider terminal according to the embodiment. FIG. 6 is a flowchart illustrating an example of a processing procedure related to accumulation of medical information in the information processing system according to the embodiment. FIG. 7 is a flowchart illustrating an example of a processing procedure related to issuance and registration of a patient identifier in the information processing system according to the embodiment. FIG. 8 is a flowchart illustrating an example of a processing procedure related to accumulation of reporting information in the information processing system according to the embodiment.

  Hereinafter, an embodiment according to an aspect of the present invention (hereinafter, also referred to as “this embodiment”) will be described with reference to the drawings. However, the present embodiment described below is merely an example of the present invention in all points, and is not intended to limit the scope thereof. It goes without saying that various improvements and modifications can be made without departing from the scope of the present invention. That is, in implementing the present invention, a specific configuration according to the present embodiment may be employed as appropriate.

  Although the data appearing in the present embodiment is described in a natural language (such as Japanese), more specifically, it is specified in a pseudo language, a command, a parameter, a machine language, or the like that can be recognized by a computer.

§1 Configuration example of information processing system FIG. 1 illustrates the configuration of an information processing system 5 according to the present embodiment. An information processing system 5 according to the present embodiment includes a medical information collection device 1, a report information collection device 2, a patient side terminal 3, and a medical supply side terminal 4. The medical information collection device 1 is one or a plurality of information processing devices that collect medical information created by a medical worker for a patient. The reporting information collection device 2 is one or a plurality of information processing devices that collect reporting information related to medication or symptoms reported by a patient. The patient side terminal 3 is one or a plurality of information processing apparatuses in which report information is input. Further, the medical provision side terminal 4 is one or a plurality of information processing apparatuses in which medical information is input. Typically, the medical information collection device 1 and the reporting information collection device 2 are a plurality of information processing devices, and the patient side terminal 3 and the medical provision side terminal 4 are a single information processing device. The number of these devices is appropriately selected according to the implementation environment and the like.

  In the information processing system 5 according to the present embodiment, medical information is input in the medical provider side terminal 4. The input medical information is transmitted from the medical provider side terminal 4 to the medical information collection device 1. In the medical information collection device 1, the medical information is stored in association with personal information that can uniquely identify the patient. The personal information may be any information as long as the information can uniquely identify the patient. For example, the personal information may be expressed by one piece of information such as an insurer number described on an insurance card, or may be expressed by a combination of a plurality of types of information such as a name and an address. In addition, when medical information related to the same patient is created in a plurality of medical facilities, personal information is common to the medical facilities in order to manage the medical information related to the same patient in an integrated manner. It is preferable that the information is used in the above.

  In the information processing system 5 according to the present embodiment, the medical information collection device 1 is requested by the patient side terminal 3 to issue a patient identifier for identifying the patient in the report information collection device 2. In response to the request, the medical information collection apparatus 1 according to the present embodiment issues a patient identifier in association with personal information. Therefore, in the medical information collection device 1, when a patient identifier is given, it is possible to acquire the patient's personal information and medical information identified by the patient identifier.

In the information processing system 5 according to this embodiment, the reporting information collection device 2 is requested from the patient side terminal 3 to register a patient identifier issued by the medical information collection device 1. The reporting information collection device 2 according to the present embodiment registers the patient identifier in association with a patient attribute that can be used for statistical processing and cannot uniquely identify a patient in response to the request. To do. Therefore, in this embodiment, the reporting information collection device 2 does not hold personal information and identifies a patient by a patient identifier. In the reporting information collection device 2, when an identifier for a patient is given, it is not personal information that can uniquely identify a patient, and a patient attribute that can not be uniquely identified but can be used for statistical processing. To be acquired. Patient attributes include, for example, the patient's age, gender, area code of the telephone number related to the place of residence, the postal code of the place of residence, the area code of the telephone number related to the place of work, or the postal code of the place of residence. Such other information or a combination of these plural types of information.

  In the information processing system 5 according to the present embodiment, report information is input at the patient terminal 3. The input report information is transmitted from the patient side terminal 3 to the report information collecting apparatus 2 together with the patient identifier. In the reporting information collection device 2, the reporting information is stored in association with the patient identifier.

  Furthermore, in the information processing system 5 according to the present embodiment, the reporting information collection device 2 acquires at least a part of the medical information accumulated in the medical information collection device 1 for the patient identified by the patient identifier. . In the present embodiment, the reporting information collection device 2 can acquire such information from the medical information collection device 1 or the medical provider side terminal 4 for reasons described later. Then, the reporting information collection device 2 stores at least a part of the medical information acquired for the patient identified by the patient identifier in association with the patient identifier. That is, at least a part of the medical information (hereinafter also referred to as “shared medical information”) is shared by the medical information collection device 1 and the reporting information collection device 2.

  That is, in the information processing system 5 according to the present embodiment, in the reporting information collection device 2, at least a part of the medical information, reporting information, and patient attributes are associated with the patient identifier. Therefore, the reporting information collection device 2 does not have personal information that can uniquely identify the patient by the patient identifier, and at least a part of the medical information associated with the patient identifier, reporting information, and It becomes possible to use patient attributes in an integrated manner.

  As a result, the information processing system 5 according to the present embodiment ensures that the use of personal information of the patient is restricted and the information and patient created in the medical service facility while ensuring the traceability of the individual patient. It is possible to use the information created by the above in an integrated manner.

Information transmission between the medical information collection device 1, the reporting information collection device 2, the patient side terminal 3, and the medical provision side terminal 4 included in the information processing system 5 is, for example, a 3G (3rd Generation) network. It is realized by data communication through a network such as the Internet, a telephone network such as ISDN (Integrated Services Digital Network), and a dedicated network. The type of network is appropriately selected according to each data communication.

  Further, in the information processing system 5 according to the present embodiment, the medical information collection device 1 has at least the reporting information accumulated in the reporting information collection device 2 for the patient identified by the patient identifier associated with the personal information. Get some information. In this embodiment, as will be described later, the medical information collection device 1 can acquire such information from the reporting information collection device 1 or the patient terminal 3. Then, the medical information collection apparatus 1 stores at least a part of the report information acquired for the patient identified by the patient identifier associated with the personal information in association with the personal information. That is, at least a part of the report information (hereinafter also referred to as “shared report information”) is shared by the medical information collection device 1 and the report information collection device 2.

That is, in the information processing system 5 according to the present embodiment, in the medical information collection device 1, at least part of the medical information and the report information is associated with the personal information. Therefore, in the medical information collection device 1 according to the present embodiment, it is possible to use medical information and report information in an integrated manner.

§2 Configuration Example of Each Device Next, the medical information collection device 1, the reporting information collection device 2, the patient side terminal 3, and the medical provision side terminal 4 included in the information processing system 5 according to the present embodiment are illustrated in FIG. 5 will be used to explain individually.

<Medical information collection device>
FIG. 2 shows a configuration example of the medical information collection apparatus 1 according to the present embodiment. As illustrated in FIG. 2, the medical information collection apparatus 1 includes a storage unit 11, a control unit 12, an input / output unit 14, and the like connected to the bus 13 as a hardware configuration.

  The storage unit 11 stores various data and programs used in processing executed by the control unit 12 (not shown). The storage unit 11 is realized by a storage device such as a hard disk or a flash memory, for example.

  The storage unit 11 stores patient information 111. The patient information 111 is information about the patient that is accumulated in the medical information collection device 1. The patient information 111 is stored in the storage unit 11 as information of one record, for example, as one piece of information for each patient. As shown in FIG. 2, the patient information 111 includes personal information D1, patient identifier ID1, medical information D2, and shared report information D3.

  The personal information D1 is information that can uniquely identify a patient. That is, the personal information D1 indicates information in which the number of populations corresponding to the attribute is 1 among information related to the patient. As described above, the personal information D1 may be any information as long as the information can uniquely identify the patient. For example, the personal information may be expressed by one piece of information such as an insurer number described on an insurance card, or may be expressed by a combination of a plurality of types of information such as a name and an address. In addition, when medical information related to the same patient is created in a plurality of medical facilities, personal information is common to the medical facilities in order to manage the medical information related to the same patient in an integrated manner. It is preferable that the information is used in the above.

  The personal information D1 may be acquired by being directly input to the medical information collection device 1 by an input device (not shown) connected to the medical information collection device 1. The personal information D1 may be acquired from a storage medium such as a USB (Universal Serial Bus) memory that can be connected to the medical information collection device 1. Furthermore, the personal information D1 may be acquired from another device such as the medical provider side terminal 4 via a network. The acquisition method of the personal information D1 does not limit the present invention.

  The patient identifier ID1 is an identifier for identifying a patient in the reporting information collection device 2. The patient identifier ID1 is associated with the personal information D1. The patient identifier ID1 is expressed by, for example, an alphanumeric character string. The patient identifier ID1 is issued by a patient identifier issuing unit 122 described later.

  The medical information D2 is information created by a medical worker for a patient. The medical information D2 is, for example, medical record information created by a doctor, prescription information, or information entered in a medicine notebook by a pharmacist. In the present embodiment, the medical information D2 is acquired via the medical provision side terminal 4.

The shared report information D3 is at least a part of the report information accumulated in the report information collection device 2 that is acquired by the shared report information acquisition processing unit 123 described later. Shared report information D
3 may be the reporting information itself stored in the reporting information collection device 2. The shared report information D3 may be difference information obtained by removing information included in the medical information D2 stored in the medical information collection apparatus 1 from the report information stored in the report information collection apparatus 2.

  In this embodiment, personal information D1, patient identifier ID1, medical information D2, and shared report information D3 are included in one patient information 111, so that patient identifier ID1, medical information D2, and The shared report information D3 is associated with the personal information D1. However, the association is not limited to such a format. For example, the association may be expressed by the storage unit 11 holding a table indicating the association relationship.

The control unit 12 includes one or a plurality of processors such as a microprocessor or a CPU (Central Processing Unit), and peripheral circuits (ROM (Read Only Memory), RAM (Random Access Memory), interface circuits) used for processing of the processor. Etc.). The control part 12 implement | achieves the process of the medical information collection apparatus 1 in this embodiment by running the various data and program which are stored in the memory | storage part 11. FIG. Note that the ROM, RAM, and the like may be referred to as a main storage device in the sense that they are arranged in an address space handled by the processor in the control unit 12.

  The input / output unit 14 is one or a plurality of interfaces for transmitting / receiving data to / from a device existing outside the medical information collection device 1. The input / output unit 31 is, for example, an interface for connecting to a user interface such as an input device and an output device, an interface for connecting to a network, an interface for making a USB connection with a device such as a USB memory, or It is a combination of these interfaces.

  The process of the medical information collection device 1 according to the present embodiment is realized as a process of the control unit 12. As shown in FIG. 2, the control unit 12 includes a medical information acquisition processing unit 121, a patient identifier issuing unit 122, a shared report information acquisition processing unit 123, a shared medical information transmission processing unit 124, and an information providing unit 125. . The medical information acquisition processing unit 121, the patient identifier issuing unit 122, the shared report information acquisition processing unit 123, the shared medical information transmission processing unit 124, and the information providing unit 125 include, for example, programs stored in the storage unit 11. This is realized by being expanded in a RAM or the like that is a peripheral circuit of the control unit 12 and executed by the processor of the control unit 12.

The medical information acquisition processing unit 121 acquires medical information D2 created by a medical worker for a patient, and accumulates the acquired medical information D2 in the medical information collection device 1. In the present embodiment, the medical information acquisition processing unit 121 acquires the medical information D2 by receiving the medical information D2 transmitted from the medical provider side terminal 4. Then, the medical information acquisition processing unit 121 stores the acquired medical information D2 in the medical information collection device 1 by storing the acquired medical information D2 in the storage unit 12 in association with the personal information D1.

  The patient identifier issuing unit 122 issues a patient identifier ID1 used for identifying a patient in the reporting information collection device 2 in association with the patient's personal information D1. In this embodiment, the patient side terminal 3 issues a request for issuing the patient identifier ID1. The patient identifier issuing unit 122 issues a patient identifier ID1 in response to the request.

The shared report information acquisition processing unit 123 obtains at least a part of the report information (shared report information D3) accumulated in the report information collection device 2 for the patient identified by the patient identifier ID1 included in the patient information 111. get. Then, the shared report information acquisition processing unit 123 stores the acquired shared report information D3 in association with the personal information D1. In the present embodiment, as will be described later, the shared report information acquisition processing unit 123 acquires the shared report information by receiving the shared report information transmitted from the report information collection device 2. And shared report information acquisition processing part 1
23 stores the acquired shared report information in the storage unit 12 in association with the personal information.

  The shared medical information transmission processing unit 124 transmits the shared medical information to the reporting information collection device 2 so that the reporting information collection device 2 described later acquires at least a part of the medical information D2 (shared medical information). Details will be described later.

  For example, the information providing unit 125 transmits the patient information 111 of the patient related to the information provision request to the medical provision side terminal 4 in response to a request for information provision from the medical provision side terminal 4, thereby obtaining the medical information D <b> 2. provide. In addition, the information provision part 125 may specify the medical provision facility which the medical worker who concerns on the request | requirement of information engages based on the identifier for medical workers for identifying a medical worker. And the information provision part 125 may provide medical information D2, after removing the part produced in medical provision facilities other than the specified medical provision facility. Details will be described later.

  The medical information acquisition processing unit 121 corresponds to “means for acquiring medical information” of the present invention. The storage unit 11 corresponds to “means for accumulating medical information” and “means for accumulating at least part of report information” according to the present invention. The patient identifier issuing unit 122 corresponds to “a means for issuing a patient identifier” of the present invention. The shared reporting information acquisition processing unit 123 corresponds to “means for acquiring at least part of the reporting information”. The information providing unit 125 corresponds to “means for specifying a medical provision facility in which a medical worker is engaged” and “means for providing medical information” of the present invention.

  The medical information collection device 1 according to this embodiment is a device having these configurations. The medical information collection device 1 is realized by, for example, one or a plurality of servers.

<Declaration information collection device>
FIG. 3 shows a configuration example of the reporting information collection apparatus 2 according to the present embodiment. As shown in FIG. 3, the reporting information collection device 2 includes a storage unit 21, a control unit 22, an input / output unit 24, and the like connected to the bus 23 as a hardware configuration.

  The storage unit 21 stores various data and programs used in processing executed by the control unit 22 (not shown). The storage unit 21 is realized by a storage device such as a hard disk or a flash memory, for example.

  The storage unit 21 stores registration information 211. The registration information 211 is information about the patient accumulated in the reporting information collection device 2. The registration information 211 is stored in the storage unit 21 as information of one record, for example, as information of one record for each patient. As shown in FIG. 3, the registration information 211 includes a patient attribute D4, a patient identifier ID1, a private identifier ID2, report information D5, and shared medical information D6.

  The patient attribute D4 indicates an attribute of a patient that can be used for statistical processing and cannot uniquely identify a patient. That is, the patient attribute D4 refers to an attribute in which the number of populations corresponding to the attribute exceeds 1 among the attributes related to the patient. For example, the patient attribute D4 is the patient's age, gender, the area code of the telephone number related to the place of residence, the postal code of the place of residence, the area code of the telephone number related to the place of work, or the postal code of the place of residence. is there. The patient attribute D4 may be a combination of these attributes as long as the patient cannot be uniquely specified.

  The patient identifier ID1 is as described above in <Medical information collection device>. Therefore, explanation is omitted.

The private identifier ID2 is an identifier issued by the reporting information collection device 2 in order to identify a patient. The private identifier ID2 is expressed by, for example, an alphanumeric character string. The private identifier ID2 is used, for example, by a patient for whom a patient identifier has not been issued to accumulate reporting information in the reporting information collection device. The private identifier ID2 is issued by a private identifier issuing unit 226 described later.

  The report information D5 is information related to the medication or symptoms reported by the patient. The report information D5 is, for example, information on the symptom being expressed, the medication situation, or the medication being taken. In addition, the information on the drug being taken includes, for example, the name of the drug, the description of the prescription or the manual (may be an image), the image of the drug, the purchase source of the drug (for example, a pharmacy) ), The name of the pharmaceutical company that manufactures the drug, or the name of the medical institution that prescribes the prescription for the drug. The reporting information D5 may be acquired by being input by an input device connected to the reporting information collection device 2. The reporting information D5 may be acquired from a storage medium such as a USB memory that can be connected to the reporting information collection device 2.

  The shared medical information D6 is at least a part of the medical information D2 that is acquired by the shared medical information acquisition processing unit 223 described later and accumulated in the medical information collection device 1. The shared medical information D6 may be the medical information D2 itself stored in the medical information collection device 1. Further, the shared medical information D6 may be difference information obtained by removing information included in the report information D5 accumulated in the report information collection device 2 from the medical information D2 accumulated in the medical information collection device 1. However, in the present embodiment, the shared medical information D6 does not include personal information that can uniquely identify an individual. That is, the shared medical information D6 is created after the personal information is removed from the medical information D2. In the present embodiment, personal information may or may not be included in the medical information D2.

  In this embodiment, patient attribute D4, patient identifier ID1, private identifier ID2, report information D5, and shared medical information D6 are included in one registration information 211, so that patient attribute D4, private identifier The identifier ID2, the report information D5, and the shared medical information D6 are associated with the patient identifier ID1. However, the association is not limited to such a format. For example, the association may be expressed by the storage unit 21 holding a table indicating the association relationship.

  The control unit 22 includes one or a plurality of processors such as a microprocessor or a CPU, and peripheral circuits (ROM, RAM, interface circuit, etc.) used for processing of the processor. The control part 22 implement | achieves the process of the report information collection apparatus 2 in this embodiment by running the various data and program which are stored in the memory | storage part 21. FIG. Note that the ROM, RAM, and the like may be referred to as a main storage device in the sense that they are arranged in an address space handled by the processor in the control unit 22.

  The input / output unit 24 is one or a plurality of interfaces for transmitting / receiving data to / from a device existing outside the reporting information collection device 2. The input / output unit 24 is the same as the input / output unit 14 described above. Therefore, the description about the input / output unit 24 is omitted.

  The process of the reporting information collection device 2 according to the present embodiment is realized as a process of the control unit 22. As shown in FIG. 3, the control unit 22 includes a patient identifier registration processing unit 221, a reporting information acquisition processing unit 222, a shared medical information acquisition processing unit 223, a shared reporting information transmission processing unit 224, an information providing unit 225, and A private identifier issuing unit 226 is included. The patient identifier registration processing unit 221, the reporting information acquisition processing unit 222, the shared medical information acquisition processing unit 223, the shared reporting information transmission processing unit 224, the information providing unit 225, and the private identifier issuing unit 226 include, for example, a storage unit The program or the like stored in the control unit 22 is developed in a RAM or the like that is a peripheral circuit of the control unit 22 and executed by the processor of the control unit 22.

  The patient identifier registration processing unit 221 registers the patient identifier ID1 issued in the medical information collection device 1 in association with the patient attribute D4. In this embodiment, the patient side terminal 3 requests registration of the patient identifier ID1. The patient identifier registration processing unit 221 registers the patient identifier ID1 in response to the request. Further, the patient identifier registration processing unit 221 associates the patient identifier issued to the same patient with the private identifier. In this embodiment, the patient identifier registration processing unit 221 includes the patient identifier ID1 and the private identifier ID2 included in one registration information 211, so that the patient identifier ID1 issued to the same patient Correspond with private identifier ID2.

  The reporting information acquisition processing unit 222 acquires reporting information, and stores the received reporting information in association with the patient identifier registered by the patient related to the acquired reporting information. In the present embodiment, the report information acquisition processing unit 222 receives the report information D5 transmitted from the patient side terminal 3, thereby acquiring the report information D5. Then, the reporting information acquisition processing unit 222 stores the acquired reporting information D5 in the storage unit 22 in association with the patient identifier ID1.

  The shared medical information acquisition processing unit 223 obtains at least a part of the medical information (shared medical information D6) stored in the medical information collection device 1 for the patient identified by the patient identifier ID1 included in the registration information 211. get. Then, the shared medical information acquisition processing unit 223 stores the acquired shared medical information D6 in association with the patient identifier ID1. In the present embodiment, as will be described later, the shared medical information acquisition processing unit 223 acquires the shared medical information D6 by receiving the shared medical information D6 transmitted from the medical information collection information device 1. Then, the shared medical information acquisition processing unit 223 stores the acquired shared medical information D6 in the storage unit 12 in association with the patient identifier ID1.

  The shared report information transmission processing unit 224 transmits the shared report information D3 to the medical information collection apparatus 1 so that the medical information collection apparatus 1 acquires at least a part of the report information D5 (shared report information D3). Details will be described later.

  For example, in response to a request for information provision from the patient side terminal 3, the information providing unit 225 provides the reporting information D5 by transmitting the patient registration information 211 related to the information provision request to the patient side terminal 3. . Details will be described later.

  The private identifier issuing unit 226 issues a private identifier. In the present embodiment, the private identifier issuing unit 226 issues a private identifier ID2 in response to a request from the patient terminal 3.

  The patient identifier registration processing unit 221 corresponds to “a means for registering a patient identifier” and “a means for associating a patient identifier with a private identifier” according to the present invention. The reporting information acquisition processing unit 222 corresponds to “means for acquiring reporting information” of the present invention. The shared medical information acquisition processing unit 223 corresponds to “means for acquiring at least part of medical information” according to the present invention. The private identifier issuing unit 226 corresponds to “means for issuing a private identifier” of the present invention. The storage unit 21 corresponds to “means for accumulating report information” and “means for accumulating at least part of medical information” according to the present invention.

  The reporting information collection device 2 according to the present embodiment is a device having these configurations. The reporting information collection device 2 is realized by one or a plurality of servers, for example.

<Patient terminal>
FIG. 4 shows a configuration example of the patient side terminal 3 according to the present embodiment. As shown in FIG. 4, the patient-side terminal 3 includes a storage unit 31, a control unit 32, an input / output unit 34, and the like that are connected to the bus 33 as a hardware configuration.

  The storage unit 31 stores various data and programs used in processing executed by the control unit 32 (not shown). The storage unit 31 is realized by a storage device such as a hard disk or a flash memory, for example.

  The control unit 32 includes one or more processors such as a microprocessor or a CPU, and peripheral circuits (ROM, RAM, interface circuit, etc.) used for processing of the processor. The control part 32 implement | achieves the process of the patient side terminal in this embodiment by running the various data and program which are stored in the memory | storage part 31. FIG. Note that the ROM, RAM, and the like may be referred to as a main storage device in the sense that they are arranged in an address space handled by the processor in the control unit 32.

  The input / output unit 34 is one or a plurality of interfaces for transmitting / receiving data to / from a device existing outside the patient-side terminal 3. The input / output unit 34 is the same as the input / output unit 14 described above. Therefore, the description of the input / output unit 34 is omitted.

  The process of the patient side terminal 3 according to the present embodiment is realized as a process of the control unit 32. As shown in FIG. 4, the control unit 32 includes an issue request unit 321, a registration request unit 322, and a report information processing unit 323. The issue request unit 321, the registration request unit 322, and the report information processing unit 323 are, for example, a program stored in the storage unit 31 expanded in a RAM or the like that is a peripheral circuit of the control unit 32, and a processor of the control unit 32. It is realized by being executed.

  The issue request unit 321 requests the medical information collection device 1 to issue a patient identifier ID1 used for identifying a patient in the reporting information collection device 2. The registration request unit 322 requests the reporting information collection device 2 to register the patient identifier ID1 issued by the medical information collection device 1. In addition, the report information processing unit 323 receives input of report information D5. Then, the reporting information processing unit 323 transmits reporting information D5 related to the input associated with the patient identifier ID1 issued by the medical information collecting device 1 to the reporting information collecting device 2 in the reporting information collecting device 2. .

  The issue request unit 321 corresponds to “means for requesting issue of patient identifier” of the present invention. The registration request unit 322 corresponds to “a means for requesting registration of a patient identifier” of the present invention. The reporting information processing unit 323 corresponds to “means for receiving input of reporting information” and “means for transmitting reporting information” of the present invention.

The patient side terminal 3 which concerns on this embodiment is an apparatus provided with these structures. The patient side terminal 3 is a general-purpose computer such as a portable terminal such as a smartphone or a PC (Personal Computer).

<Medical provider terminal>
FIG. 5 shows a configuration example of the medical provision side terminal 4 according to the present embodiment. As shown in FIG. 5, the medical provider side terminal 4 includes a storage unit 41, a control unit 42, an input / output unit 44, and the like connected to the bus 43 as a hardware configuration.

  The storage unit 41 stores various data and programs used in processing executed by the control unit 42 (not shown). The storage unit 41 is realized by a storage device such as a hard disk or a flash memory, for example.

The storage unit 41 according to the present embodiment stores a medical worker identifier ID3. The medical worker identifier ID3 is an identifier used to identify a medical worker. Details will be described later.

  The control unit 42 includes one or a plurality of processors such as a microprocessor or a CPU, and peripheral circuits (ROM, RAM, interface circuit, etc.) used for processing of the processor. The control part 42 implement | achieves the process of the medical provision side terminal 4 in this embodiment by running the various data and program which are stored in the memory | storage part 41. FIG. Note that the ROM, RAM, and the like may be referred to as a main storage device in the sense that they are arranged in an address space handled by the processor in the control unit 42.

  The input / output unit 44 is one or a plurality of interfaces for transmitting / receiving data to / from a device that exists outside the medical provider side terminal 4. The input / output unit 44 is the same as the input / output unit 14 described above. Therefore, the description of the input / output unit 44 is omitted.

  The process of the medical provider side terminal 4 according to the present embodiment is realized as a process of the control unit 42. As shown in FIG. 5, the control unit 42 includes a medical information processing unit 421. The medical information processing unit 421 is realized by, for example, developing a program or the like stored in the storage unit 41 in a RAM or the like that is a peripheral circuit of the control unit 42 and executing the program by the processor of the control unit 42.

  The medical information processing unit 421 receives input of medical information D2. Then, the medical information processing unit 421 transmits medical information D2 related to the input to the medical information collection device 1.

  The medical information processing unit 421 corresponds to “means for receiving input of medical information” and “means for transmitting medical information related to input to the medical information collection apparatus” according to the present invention.

  The medical provider side terminal 4 according to the present embodiment is a device having these configurations. The medical provider side terminal 4 is, for example, a general-purpose computer such as a PC.

§3 Operation Example Next, an operation example of the information processing system 5 according to the present embodiment will be described with reference to FIGS. 6 to 8, the step is abbreviated as “S”. In the following description, the control unit 12 of the medical information collection device 1, the control unit 22 of the reporting information collection device 2, the control unit 32 of the patient side terminal 3, and the control unit 42 of the medical provision side terminal 4 will be described above. When the processing by each function is described, each functional block will be described as the processing subject.

<Processing example related to medical information accumulation>
FIG. 6 is a flowchart illustrating an example of a processing procedure related to accumulation of medical information D2 in the information processing system 5 according to the present embodiment.

(Step 1001)
In step 1001, medical information D <b> 2 is acquired in the medical provision terminal 4. In the present embodiment, the medical information processing unit 421 of the medical provider side terminal 4 receives an input via an input device by a medical worker, for example. Then, the medical information processing unit 421 acquires the medical information D2 based on the received input. When the medical information D2 is acquired, the process proceeds to the next step 1002.

The acquisition of the medical information D2 is performed by an appropriate method. For example, the format of the electronic medical record may be given by a program such as an application for creating an electronic medical record executed on the medical provider side terminal 4. In such a case, the doctor can create an electronic medical record (medical information D2) by operating an input device connected to the medical provider side terminal 4. The medical information processing unit 421 may acquire the medical information D2 by creating the electronic medical record (medical information D2) in this way. In addition, for example, the medical information processing unit 421 may acquire image data obtained by reading a medical chart (paper) with a scanner connected to the medical provision side terminal 4 as the medical information D2. The acquisition method of the medical information D2 does not limit the present invention.

  The medical information D2 may include a time stamp for indicating the time when the medical information D2 is created.

(Step 1002)
In step 1002, the medical information D <b> 2 is transmitted to the medical information collection device 1. In the present embodiment, the medical information processing unit 421 transmits the medical information D2 acquired in step 1001 to the medical information collection device 1. After the transmission process, the process proceeds to the next step 1003.

  The medical information processing unit 421 transmits the medical information D2 to the medical information collection device 1 via a wired or wireless network or a mixed network thereof. The network between the medical provision side terminal 4 and the medical information collection device 1 may be appropriately selected according to the situation such as the nature of the medical information D2 and the installation location of the medical information collection device 1. For example, when the medical provision side terminal 4 and the medical information collection device 1 are installed in the same medical provision facility, an intranet is adopted as a network between the medical provision side terminal 4 and the medical information collection device 1. Also good.

(Step 1003)
In step 1003, medical information D <b> 2 is acquired in the medical information collection device 1. In the present embodiment, the medical information acquisition processing unit 121 acquires the medical information D2 by receiving the medical information D2 transmitted from the medical provider side terminal 4. When the medical information D2 is acquired, the process proceeds to the next step 1004.

  The medical information acquisition processing unit 121 may acquire the medical information D2 based on an input via an input device connected to the medical information collection device 1. The medical information acquisition processing unit 121 may acquire the medical information D2 from a storage medium such as a USB memory that can be connected to the medical information collection device 1.

(Step 1004)
In step 1004, the medical information collection device 1 stores the acquired medical information D2 in association with the personal information D1. In the present embodiment, the medical information acquisition processing unit 121 stores the medical information D2 acquired in step 1003 in the storage unit 12 in association with the personal information D1. When the medical information D2 is stored in the storage unit 12, the process proceeds to the next step 1005.

  In the present embodiment, the personal information D1 and the medical information D2 are included in one patient information 111, so that the correspondence between the personal information D1 and the medical information D2 is expressed. Therefore, the medical information acquisition processing unit 121 specifies the patient information 111 to which the medical information D2 should be added by specifying the patient information 111 of the patient related to the medical information D2 acquired in Step 1003.

Identification of the patient information 111 to which the medical information D2 is to be added is performed by an appropriate method. For example, in step 1001, input of the patient's personal information related to the medical information D2 may be accepted. In step 1002, the medical information processing unit 421 may transmit the personal information related to the input to the medical information collecting apparatus 1 together with the medical information D2. In step 1003, the medical information acquisition processing unit 121 may acquire personal information related to the input together with the medical information D2. Furthermore, the medical information acquisition processing unit 121 searches the storage unit 11 for patient information 111 including the personal information D1 that matches the acquired personal information, thereby specifying the medical information D2 and the patient information 111 to be added. Good.

  As a result of the search, when the patient information 111 including the personal information D1 that matches the acquired personal information is found, the medical information acquisition processing unit 121 adds the medical information D2 to the found patient information 111.

  If the patient information 111 including the personal information D1 that matches the acquired personal information is not found as a result of the search, the medical information acquisition processing unit 121 stores the patient information 111 to which the acquired medical information D2 should be added. It is determined that no part 12 exists.

  When the patient information 111 to which the acquired medical information D2 is to be added does not exist in the storage unit 12, for example, the medical information acquisition processing unit 121 creates a new record (patient information 111) including the received personal information D1. Thus, the acquired medical information D2 may be added to the created patient information 111. Further, for example, the medical information acquisition processing unit 121 may notify the medical provider side terminal 4 of a message notifying that there is no patient information 111 to which the medical information D2 should be added. And the medical information acquisition process part 121 makes the operator (for example, medical workers, such as a doctor and a pharmacist) of the medical supply side terminal 4, producing the patient information 111 about the patient who concerns on the acquired medical information D2. You may be prompted. Such record addition processing is performed by an appropriate method.

  The processing related to the association between the personal information D1 and the medical information D2 differs depending on the expression method related to the association between the personal information D1 and the medical information D2. Therefore, the process related to the association is appropriately executed according to the expression method related to the association between the personal information D1 and the medical information D2. The same applies to the association of each piece of information below.

  Note that medical information D2 may be created in a plurality of medical facilities. In this case, for example, in order to identify the patient, such as an insurer number of an insurance card, information commonly used in the plurality of medical provision facilities may be used as the personal information D1.

  At this time, the medical information acquisition processing unit 121 can identify the medical information D2 related to the same patient transmitted from the medical provider side terminals 4 installed in a plurality of medical provider facilities with the same personal information D1. Become. Therefore, the medical information acquisition processing unit 121 can include the medical information D2 created for the same patient in a plurality of medical provision facilities in one patient information 111. Thereby, in the medical information collection apparatus 1, it becomes possible to manage collectively the several medical information about the same patient produced in a different medical facility as one medical information.

(Step 1005)
In step 1005, it is determined whether or not the patient identifier ID1 associated with the medical information D2 has already been registered in the reporting information collection device 2. In this embodiment, the shared medical information transmission processing unit 124 has already received the patient identifier ID1 associated with the medical information D2 acquired in step 1003 in order to transmit the shared medical information D6 to the reporting information collection device 2. It is determined whether or not it is registered in the reporting information collection device 2. If the patient identifier ID1 associated with the medical information D2 has already been registered in the reporting information collection device 2, the process proceeds to the next step 1006. If the patient identifier ID1 associated with the medical information D2 is not registered in the reporting information collection device 2, the process ends. In this case, the shared medical information transmission processing unit 124 may request the reporting information collection device 2 to perform registration processing for the patient identifier ID1.

  Note that the shared medical information transmission processing unit 124 is not limited to the medical information D2 acquired in step 1003, and may use the medical information D2 already stored in the storage unit 11 as a target of the determination. In this case, when a plurality of pieces of patient information 111 are stored in the storage unit 11, the determination may be performed on each piece of patient information 111. At this time, for the patient information 111 including the patient identifier ID1 already registered in the reporting information collection device 2 among the plurality of pieces of patient information 111 stored in the storage unit 11, the process proceeds to the next step 1006. move on. On the other hand, for the patient information 111 including the patient identifier ID1 that is not registered in the reporting information collection device 2 among the plurality of patient information 111 stored in the storage unit 11, the process does not proceed to the next step 1006. ,finish. When the processing ends, the shared medical information transmission processing unit 124 may request the reporting information collection device 2 to perform registration processing for the patient identifier ID1 that is not registered in the reporting information collection device 2.

  Here, the determination whether or not the patient identifier ID1 included in the patient information 111 is registered in the reporting information collection device 2 is performed by an appropriate method.

  For example, the shared medical information transmission processing unit 124 may designate the patient identifier ID1 and inquire whether or not the designated patient identifier ID1 is registered in the reporting information collection device 2. In this case, for example, the reporting information collection device 2 searches the registration information 211 including the designated patient identifier ID1 from the registration information 211 stored in the storage unit 21, thereby specifying the designated patient identifier ID1. It is determined whether or not is registered. Based on the determination, the reporting information collection device 2 replies to an inquiry from the shared medical information transmission processing unit 124. The shared medical information transmission processing unit 124 determines whether or not the patient identifier ID <b> 1 is registered in the reporting information collection device 2 based on a reply to the inquiry from the reporting information collection device 2.

  For example, the reporting information collection device 2 may notify the medical information collection device 1 that the patient identifier ID1 has been registered after the registration processing of the patient identifier ID1 described later. In this case, the shared medical information transmission processing unit 124 determines whether or not the patient identifier ID1 is registered in the reporting information collection device 2 based on the presence or absence of the notification, for example.

  For example, the patient information 111 may include information indicating whether or not the patient identifier ID1 is registered in the reporting information collection device 2. In this case, the shared medical information transmission processing unit 124 performs the determination by referring to the information. For example, the registration state of the patient identifier ID1 may be updated by updating the information by, for example, the inquiry or the notification.

  For example, the shared medical information transmission processing unit 124 determines whether or not the patient identifier ID1 included in the patient information 111 is registered in the reporting information collection device 2 by these methods.

(Step 1006)
In step 1006, the shared medical information D6 is transmitted from the medical information collection device 1 to the reporting information collection device 2. In the present embodiment, the medical information associated with the patient identifier ID1 registered in the reporting information collection device 2 from the medical information collection device 1 to the reporting information collection device 2 by the shared medical information transmission processing unit 124. Transmission processing related to the shared medical information D6 about D2 is executed. When the transmission process is executed, the process proceeds to the next step 1007.

In the present embodiment, the shared medical information transmission processing unit 124 creates and transmits the shared medical information D6 for the medical information D2 acquired in step 1003.

  The shared medical information D6 is information of at least a part of the medical information D2 that is created after the personal information is removed. The medical information D2 is information created by a medical worker for a patient, for example, medical record information created by a doctor, prescription information, or information entered in a medicine notebook by a pharmacist. .

  Here, for example, information to be included in the shared medical information D6 is set for a plurality of types of information included in the medical information D2. In this case, for example, the medical chart information included in the medical information D2 is information that should be included in the shared medical information D6, and the shared medical information D6 among the plurality of types of information included in the medical information D2 is determined according to the setting. Information to be included is specified. The shared medical information transmission processing unit 124 creates shared medical information D6 according to the setting. Note that the information related to the setting may be included in the patient information 111 or may be stored in the storage unit 11 as information different from the patient information 111.

  Further, for example, information to be included in the shared medical information D6 may be selected for a plurality of types of information included in one medical information D2. The selection may be performed, for example, by operating an input device connected to the medical information collection device 1 or connected to the medical provider side terminal 4 that communicates with the medical information collection device 1 via a network. It may be performed by operating an input device.

  Note that the creation of the shared medical information D6 may be executed in the reporting information collection device 2. In this case, the shared medical information transmission processing unit 124 transmits the medical information D2 acquired in step 1003 to the reporting information collection device 2 as it is. Then, the reporting information collection device 2 creates the shared medical information D6 as described above from the received medical information D2.

  Further, the shared medical information D6 may be difference information obtained by removing information included in the report information D5 accumulated in the report information collection device 2 from the medical information D2. In this case, the shared medical information transmission processing unit 124 or the reporting information collection device 2 creates the shared medical information D6 by comparing the medical information D2 associated with the common patient identifier ID1 with the reporting information D5. May be.

  Note that the shared medical information transmission processing unit 124 is not limited to the medical information D2 acquired in step 1003, but may use the medical information D2 already stored in the storage unit 11 as a target of the transmission processing.

(Step 1007)
In step 1007, shared medical information D6 is accumulated in the reporting information collection device 2 by the shared medical information acquisition processing unit 223 of the reporting information collection device 2. When the process related to the accumulation is completed, a series of processes related to the medical information D2 in the present embodiment ends.

  In the present embodiment, the shared medical information acquisition processing unit 223 receives the shared medical information D6 transmitted from the medical information collection device 1, identifies and identifies the patient registration information 211 related to the received shared medical information D6. The shared medical information D6 received is added to the registration information 211. Accordingly, the shared medical information acquisition processing unit 223 accumulates the shared medical information D6 in the reporting information collection device 2. The patient identifier ID1 is used to specify the registration information 211 to which the shared medical information D6 is added.

For example, in step 1006, the shared medical information transmission processing unit 124 of the medical information collection apparatus 1 together with the shared medical information D6, the patient identifier I for the patient related to the shared medical information D6.
D1 is transmitted. In this embodiment, the transmitted patient identifier ID1 is the patient identifier ID1 included in the patient information 111 added with the medical information D2 by the medical information acquisition processing unit 121 in step 1004. Based on the patient identifier ID1 received together with the shared medical information D6, the shared medical information acquisition processing unit 223 identifies registration information 211 to which the shared medical information D6 is added. The shared medical information acquisition processing unit 223 specifies the registration information 211 to which the shared medical information D6 is added by inquiring the patient information ID1 of the patient related to the received shared medical information D6 to the medical information collection device 1. The patient identifier ID1 used for this may be acquired.

(Other)
Through the processing so far, the medical information D2 is accumulated in the medical information collection device 1, and the shared medical information D6 for the medical information D2 is accumulated in the reporting information collection device 2. Here, the processing of steps 1005 to 1007 is processing for the reporting information collection device 2 to acquire the shared medical information D6. In the present embodiment, when new medical information D2 is added, processing for acquiring the shared medical information D6 is executed. However, the timing of the process for acquiring the shared medical information D6 is not limited to such a case.

  For example, the process related to the acquisition may be periodically executed. In this case, for example, in step 1005, the shared medical information transmission processing unit 124 may specify the medical information D2 that has not been subjected to the transmission processing according to the next step 1006. At this time, in step 1006, the transmission processing related to the shared medical information D6 is executed only for the specified medical information D2. Further, in step 1007, the shared medical information D6 is accumulated only for the specified medical information D2 in the reporting information collection device 2.

  The medical information D2 that has not been subjected to the transmission process may be specified using, for example, a time stamp indicating the time when the medical information D2 is stored in the storage unit 11. At this time, in step 1005, the shared medical information transmission processing unit 124, based on the time when step 1006 was executed last time and the time indicated by the time stamp, the medical information D2 that has not performed the transmission processing according to step 1006. Is identified.

  Further, for example, the processing of steps 1005 to 1007 may be executed in response to a request for transmission of the shared medical information D6 from the reporting information collection device 2 to the medical information collection device 1. Also in this case, as in the case described above, in step 1005, the shared medical information transmission processing unit 124 may specify the medical information D2 that has not been subjected to the transmission processing related to step 1006.

  In the present embodiment, the reporting information collection device 2 acquires the shared medical information D6 from the medical information collection device 1. However, the acquisition source of the shared medical information D6 is not limited to the medical information collection device 1. For example, the reporting information collection device 2 may acquire the shared medical information D6 from the medical provider side terminal 4.

  In this case, for example, the medical provision side terminal 4 transmits the medical information D2 acquired in step 1001 not only to the medical information collection device 1 but also to the reporting information collection device 2 in step 1002. By creating the shared medical information D6 from the transmitted medical information D2, the reporting information collection device 2 acquires the shared medical information D6 from the medical provider side terminal 4. The creation of the shared medical information D6 may be executed by the medical provider side terminal 4 or may be executed by the reporting information collection device 2.

Here, the reporting information collection device 2 uses the patient identifier ID1 in order to specify the registration information 211 to which the shared medical information D6 acquired from the medical provider side terminal 4 is added. When the medical provider side terminal 4 holds the patient identifier ID1, the reporting information collection device 2 uses the patient identifier ID1 used to identify the registration information 211 to which the shared medical information D6 is added. 4 may be obtained.

  When the medical provider side terminal 4 does not hold the patient identifier ID1, the reporting information collection device 2 uses the patient identifier ID1 used for specifying the registration information 211 to which the shared medical information D6 is added as the medical information. You may acquire from the collection apparatus 1. In this case, for example, in step 1004, the patient information 111 to which the medical information D2 transmitted from the medical provider terminal 4 to the medical information collection device 1 is added is specified. The patient identifier ID1 included in the patient information 111 to which the medical information D2 is added is the patient identifier ID1 of the patient related to the medical information D2 acquired in step 1001. Therefore, by transmitting the patient identifier ID1 included in the patient information 111 to the reporting information collection device 2, the reporting information collection device 2 specifies the registration information 211 to which the shared medical information D6 is added. You may acquire patient identifier ID1 used. Note that the patient identifier ID1 transmitted from the medical information collection device 1 may be acquired by the reporting information collection device 2 via the medical provision side terminal 4.

<Example of processing related to issuance and registration of patient identifiers>
FIG. 7 is a flowchart illustrating an example of a processing procedure related to issuance and registration of a patient identifier in the information processing system 5 according to the present embodiment.

(Step 2001)
In step 2001, a request for issuing the patient identifier ID1 is made. In the present embodiment, the issue request unit 321 of the patient side terminal 3 issues a request for issuing the patient identifier ID1 from the patient side terminal 3 to the medical information collection device 1. When the issue request unit 321 executes the issue request process, the process proceeds to the next step 2002.

  In the present embodiment, the issue request unit 321 executes issue request processing based on, for example, an operation of the patient-side terminal 3. For example, the issue request unit 321 requests the medical information collection device 1 to issue the patient identifier ID1 by notifying the medical information collection device 1 of a message indicating the issue request.

(Step 2002)
In step 2002, the patient related to the issue request is identified. In the present embodiment, the patient identifier issuing unit 122 of the medical information collection device 1 identifies a patient related to a request for issuing the patient identifier ID1. When the patient related to the issuance request of the patient identifier ID1 is specified, the process proceeds to the next step 2003.

  In the present embodiment, the patient identifier issuing unit 122 specifies the patient related to the request for issuing the patient identifier ID1 by specifying the patient information 111 of the patient issuing the patient identifier ID1. The identification of the patient information 111 of the patient issuing the patient identifier ID1 is performed using personal information, for example. The patient identifier issuing unit 122 acquires personal information used for specifying the patient information 111 of the patient issuing the patient identifier ID1 from the patient side terminal 3, for example.

  In this case, for example, in step 2001, the issue request unit 321 of the patient side terminal 3 notifies a message indicating the issue request and transmits personal information of the patient who issues the patient identifier ID1 to the medical information collection device 1. . The personal information is, for example, information input by an input device connected to the patient terminal 3. When issuing the issuance request for the patient identifier ID1, the issuance request unit 321 receives the input of the personal information, thereby acquiring the personal information of the patient related to the issuance request.

  Thereby, the patient identifier issuing unit 122 acquires personal information used for specifying the patient information 111 of the patient issuing the patient identifier ID1. Then, the patient identifier issuing unit 122 searches the patient information 111 including the personal information D1 that matches the acquired personal information from the patient information 111 stored in the storage unit 11, thereby issuing the patient identifier ID1. Patient information 111 is identified.

  When the patient information 111 including the personal information D1 that matches the acquired personal information exists in the patient information 111 stored in the storage unit 11, the patient information 111 of the patient issuing the patient identifier ID1 is specified.

  On the other hand, when the patient information 111 including the personal information D1 that matches the acquired personal information does not exist in the patient information 111 stored in the storage unit 11, the patient identifier issuing unit 122 displays the patient ID ID1 of the patient who issues the patient identifier ID1. The patient information 111 cannot be specified. In this case, the patient identifier issuing unit 122 may notify the patient terminal 3 of a message indicating that the patient information 111 of the patient issuing the patient identifier ID1 does not exist. Further, the patient identifier issuing unit 122 creates a new record (patient information 111) including the personal information acquired from the patient side terminal 3 as the personal information D1, and issues the patient identifier ID1 with the created patient information 111. The patient information 111 of the patient to be performed may be specified.

(Step 2003)
In step 2003, a patient identifier ID1 is issued. In this embodiment, the patient identifier issuing unit 122 issues a patient identifier ID1 used for identifying a patient in the reporting information collection device 2 in association with the patient's personal information D1. When the patient identifier ID1 is issued, the process proceeds to the next step 2004.

  In the present embodiment, the patient identifier ID1 and the personal information D1 are associated with each other by including the patient identifier ID1 and the personal information D1 in one patient information 111. Therefore, the patient identifier issuing unit 122 associates the issued patient identifier ID1 with the personal information D1 by adding the issued patient identifier ID1 to the patient information 111 identified in step 2002.

  The patient identifier ID1 is issued by an appropriate method. For example, the patient identifier ID1 is an alphanumeric character string. The patient identifier issuing unit 122 issues a patient identifier ID1 by randomly creating an alphanumeric character string that is not used for the patient identifier ID1 included in the patient information 111 stored in the storage unit 11. May be.

  Further, for example, the patient identifier issuing unit 122 may create an alphanumeric character string that is not used for the patient identifier ID1 included in the patient information 111 stored in the storage unit 11 according to a predetermined rule.

  Further, for example, the patient identifier issuing unit 122 may issue the patient identifier ID1 by creating the patient identifier ID1 using the personal information D1.

  The personal information D1 is, for example, an insurer code of an insurance card. The patient identifier issuing unit 122 may create the patient identifier ID1 by using at least a part of the insurer code of the insurance card as at least a part of the character string to be created. Further, the patient identifier issuing unit 122 may create the patient identifier ID1 by creating a character string created by performing a predetermined conversion on at least a part of the insurer code of the insurance card. Good.

The personal information D1 is, for example, a set of address, name, and age. The patient identifier issuing unit 122 may create the patient identifier ID1 by using at least part of letters and numbers included in the address, name, and age as at least part of the character string to be created.

  The patient identifier issuing unit 122 adds the patient identifier ID1 created by these methods to the patient information 111 specified in step 2002, so that the patient identifier ID1 of the patient related to the issuance request is added to the individual of the patient. Issued in association with information D1.

  In the present embodiment, the patient identifier ID1 of the patient related to the issue request is created for the first time when the issue request is made. However, the time when the patient identifier ID1 is issued is not limited to the time. The patient identifier ID1 may be issued at an arbitrary time point from when the patient information 111 of the patient related to the issue request is created to the issue request. That is, the creation of the patient identifier ID1 may be completed in response to an issuance request from the patient terminal 3.

(Step 2004)
In step 2004, the issued patient identifier ID1 is transmitted from the medical information collecting apparatus 1 to the patient side terminal 3 by the patient identifier issuing unit 122. The patient identifier issuing unit 122 transmits the patient identifier ID1 issued in step 2003 to the patient terminal 3 for which the issue request is made in step 2001. When the transmission process is completed, the process proceeds to the next step 2005.

  The patient identifier ID1 is information used in place of the personal information D1 that can uniquely identify an individual in order to identify a patient. That is, in Step 2004 and Step 1006, the personal information D1 corresponding to the patient related to each processing is concealed from the patient side terminal 3 and the reporting information collection device 2. Thereby, the information processing system 5 according to the present embodiment conceals the personal information of the patient acquired at the medical service facility from those outside the medical service facility.

(Step 2005)
In step 2005, the patient side terminal 3 receives the patient identifier ID1 transmitted from the medical information collection device 1. For example, the patient terminal 3 stores the received patient identifier ID1 in the storage unit 31. When the reception is completed, the process proceeds to the next step 2006.

(Step 2006)
In step 2006, the reporting information collection device 2 requests registration of the patient identifier ID1. In the present embodiment, the registration request unit 322 of the patient terminal 3 requests the reporting information collection device 2 to register the patient identifier ID1 received in step 2005. When the registration request unit 322 executes the registration request process, the process proceeds to the next step 2007.

  In the present embodiment, the registration request unit 322 executes a registration request process in response to receiving the patient identifier ID1 from the medical information collection device 1, for example. Further, for example, the registration request unit 322 executes a registration request process based on the operation of the patient terminal 3. For example, the registration request unit 322 requests the reporting information collection device 2 to register the patient identifier ID1 by notifying the reporting information collection device 2 of a message indicating the registration request.

In the present embodiment, the registration request unit 322 transmits the patient identifier ID1 received from the medical information collection device 1 to the reporting information collection device 2 when the registration request is notified. By this transmission, the reporting information collection device 2 acquires the patient identifier ID1 related to registration. However, the acquisition source from which the reporting information collection device 2 acquires the patient identifier ID1 related to registration is not limited to the patient terminal 3. For example, as described later, the reporting information collection device 2 may acquire the patient identifier ID1 from the medical information collection device 1.

(Step 2007)
In step 2007, the registration information device 2 performs registration processing for the patient identifier ID1. In this embodiment, the patient identifier registration processing unit 221 stores the patient identifier ID1 related to the registration request from the patient side terminal 3 in the storage unit 22 in association with the patient attribute D4. When the registration process is completed, the process proceeds to the next step 2008.

  In the present embodiment, the patient identifier ID1 and the patient attribute D4 are associated with each other by including the patient identifier ID1 and the patient attribute D4 in one registration information 211. Therefore, the patient identifier registration processing unit 221 adds the patient identifier ID1 of the patient related to the registration request and the patient attribute D4 to one registration information 211, so that the patient identifier ID1 of the patient related to the registration request is added. Is associated with the patient attribute D4 of the patient.

  Here, in this embodiment, the patient according to the registration information 211 is identified by the patient identifier ID1 or the private identifier ID2. That is, at the time when the registration information 211 is created for the patient, the registration information 211 includes at least one of the patient identifier ID1 and the private identifier ID2. At this time, if the registration information 211 includes the patient identifier ID1, this means that the registration processing in this step 2007 related to the patient identifier ID1 has already been completed.

  Therefore, if the patient identifier ID1 of the patient related to the registration request is not registered in the reporting information collection device 2 at the time when this step 2007 is executed, the registration including the patient identifier ID1 of the patient related to the registration request is performed. The information 211 does not exist in the storage unit 21. In this case, the patient registration information 211 related to the registration request is not created, and the patient ID ID1 of the patient related to the registration request is not included, but the registration includes the private identifier ID2 There are two cases where the information 211 exists in the storage unit 21.

  First, a case where the registration information 211 including the patient identifier ID2 but not including the patient identifier ID1 of the patient related to the registration request is present in the storage unit 21 will be described. In this case, the private identifier ID2 is issued by the private identifier issuing unit 226 before the processing of this step 2007 is executed. For example, in response to a request from the patient side terminal 3, the private identifier issuing unit 226 issues a private identifier ID2 and creates a new record (registration information 211) including the issued private identifier ID2. Thus, by the time when the processing of this step 2007 is executed, the registration information 211 that does not include the patient identifier ID1 of the patient related to the registration request but includes the private identifier ID2 is stored in the storage unit 21. Exists.

  In this case, for example, in the registration request from the patient side terminal 3 in step 2006, the private identifier ID2 of the patient related to the registration is designated. The patient identifier registration processing unit 221 searches the registration information 211 stored in the storage unit 21 for registration information 211 including the private identifier ID2 related to the designation. And the patient identifier registration process part 221 adds patient identifier ID1 acquired from the patient side terminal 3 to the registration information 211 discovered by the said search. When the patient attribute D4 is not included in the registration information 211, the patient identifier registration processing unit 221 acquires the patient attribute D4 of the patient related to the registration request, and uses the acquired patient attribute D4 as the registration information 211. Add to. Accordingly, the patient identifier registration processing unit 221 registers the patient identifier ID1 of the patient related to the registration request in association with the patient attribute D4 of the patient.

  If the patient registration information 211 related to the registration request cannot be found by the search, it is considered that the private identifier ID2 specified in the registration request is incorrect. Therefore, the patient identifier registration processing unit 221 Notifies the patient side terminal 3 of a message that the designation of the private identifier ID2 is incorrect.

  Next, a case where the patient registration information 211 related to the registration request is not created will be described. In this case, the patient registration information 211 related to the registration request does not exist in the storage unit 21. In this case, for example, at the time of registration request from the patient side terminal 3 in step 2006, a request to create patient registration information 211 related to the registration request is made (for example, notification of new patient registration). In response to the creation request, the patient identifier registration processing unit 221 creates a new record (registration information 211) including the patient identifier ID1 acquired from the patient side terminal 3. In addition, the patient identifier registration processing unit 221 acquires the patient attribute D4 of the patient related to the registration request, and adds the acquired patient attribute D4 to the registration information 211. Accordingly, the patient identifier registration processing unit 221 registers the patient identifier ID1 of the patient related to the registration request in association with the patient attribute D4 of the patient.

  The patient attribute D4 is acquired by an appropriate method. For example, the patient identifier registration processing unit 221 acquires the patient attribute D4 from the patient terminal 3. In this case, for example, at the time of registration request from the patient side terminal 3 in step 2006, the patient attribute D4 of the patient related to the registration request is transmitted from the patient side terminal 3 to the reporting information collection device 2. The patient attribute D4 is information input by an input device connected to the patient side terminal 3, for example. The registration request unit 322 of the patient side terminal 3 acquires the patient attribute D4 of the patient related to the registration request by receiving the input of the patient attribute D4 when making a registration request of the patient identifier ID1.

  Further, for example, the patient identifier registration processing unit 221 acquires the patient attribute D4 from the medical information collection device 1. In this case, for example, the patient identifier registration processing unit 221 specifies the patient identifier ID1 related to the land request, and requests the medical information collection apparatus 1 to acquire the patient attribute D4. In response to the request, the medical information collection device 1 searches the patient information 111 including the designated patient identifier ID1 among the patient information 111 stored in the storage unit 11. As a result of the search, the medical information collection device 1 creates a patient attribute D4 from the personal information D1 included in the found patient information 111.

  The patient attribute D4 is, for example, the patient's age, sex, the area code of the telephone number related to the place of residence, the postal code of the place of residence, the area code of the telephone number related to the place of work, or the postal code of the place of residence. is there. The personal information D1 is a combination of the patient's age, address, name, and the like, for example. Therefore, the medical information collection device 1 creates the patient attribute D4 by deleting some information from the information included in the personal information D1, for example.

  Then, the medical information collection device 1 transmits the created patient attribute D4 to the reporting information collection device 2. By receiving the transmitted patient attribute D4, the patient identifier registration processing unit 221 acquires the patient attribute D4 associated with the patient identifier ID1 of the patient related to the registration request.

  In addition, when the patient information 111 related to the acquisition of the patient attribute D4 cannot be found in the medical information collection device 1, it is considered that the patient identifier ID1 related to the registration request is incorrect. For example, the medical information collection device 1 A message indicating that the patient identifier ID1 is incorrect is sent to the reporting information collection device 2. Then, the patient identifier registration processing unit 221 of the reporting information collection device 2 transfers the notification to the patient side terminal 3.

For example, the patient attribute D4 is acquired by these methods. The patient attribute D4 can change depending on the acquired time. Therefore, the registration information 211 may include a time stamp indicating the time when the patient attribute D4 is acquired.

  In the present embodiment, when the patient private ID ID2 related to the registration request exists, the patient identifier ID1 and the private identifier ID2 related to registration are associated with each other when registering the patient identifier ID1. . In the case where the patient identifier ID 1 of the patient related to the registration request is not included, but the registration information 211 including the private identifier ID 2 exists in the storage unit 21, the patient identifier registration processing unit 221 performs the registration. The patient identifier ID1 for registration is added to the registration information 211 including the private identifier ID2. Thus, the patient identifier ID1 and the private identifier ID2 are included in one registration information 211, and the patient identifier ID1 and the private identifier ID2 related to registration are associated with each other.

  Further, the patient identifier registration processing unit 221 integrates a plurality of pieces of registration information 211 related to the same patient into one registration information 211, whereby a patient identifier ID1 and a private identifier ID2 related to registration are obtained. May be associated. In the present embodiment, the registration information 211 including the patient identifier ID1 and the registration information 211 including the private identifier ID2 may be created separately. In this case, the patient identifier registration processing unit 221 registers one piece of registration information 211 created separately by designating the patient identifier ID1 and the private identifier ID2 related to integration from the patient side terminal 3. The information 211 may be integrated. Accordingly, the patient identifier ID1 and the private identifier ID2 are included in one registration information 211, and the patient identifier ID1 and the private identifier ID2 are associated with each other.

(Other)
In the present embodiment, the reporting information collection device 2 acquires the patient identifier ID 1 related to registration from the medical information collection device 1 via the patient side terminal 3. However, the reporting information collection device 2 may acquire the patient identifier ID1 related to registration without using the patient side terminal 3.

  In this case, for example, the issue request in step 2001 and the registration request in step 2006 are performed in parallel. In the medical information collection device 1, a patient identifier ID1 is issued. In the reporting information collection device 2, for example, the patient identifier ID 1 related to registration is set to a standby state. Then, the medical information collection device 1 transmits the issued patient identifier ID1 to the reporting information collection device 2.

  At this time, since there is a possibility of receiving registration requests from a plurality of patient-side terminals 3, in the reporting information collection device 2, the patient-side terminal that has issued a request for issuing the patient identifier ID1 transmitted from the medical information collection device 1 3 and the patient-side terminal 3 related to the registration request need to be determined to be the same.

The determination can be performed by using, for example, the IP (Internet Protocol) address of the patient side terminal 3. For example, the medical information collection device 1 transmits the patient identifier ID1 issued to the reporting information collection device 2, and transmits the IP address of the patient terminal 3 related to the issuance request for the patient identifier ID1. Moreover, the reporting information collection device 2 acquires the IP address of the patient side terminal 3 related to the registration request. Then, the reporting information collection device 2 performs the above-described determination by checking the IP address transmitted together with the patient identifier ID1 and the IP address of the patient side terminal 3 related to the registration request. Thereby, the reporting information collection device 2 can acquire the patient identifier ID1 related to the registration and register the acquired patient identifier ID1 without using the patient side terminal 3.
<Example of processing related to accumulation of reporting information>
FIG. 8 is a flowchart showing an example of a processing procedure related to accumulation of reporting information D5 in the information processing system 5 according to the present embodiment. Note that the processing related to steps 3001 to 3007 includes the medical information collection device 1 in the processing related to steps 1001 to 1007 as the reporting information collection device 2, the reporting information collection device 2 as the medical information collection device 1, and the healthcare provider terminal 4. In the patient terminal 3, medical information D2 in the report information D5, personal information D1 in the patient identifier ID1 or private identifier ID2, shared medical information D6 in the shared report information D3, and storage unit 12 in the storage unit 22. The medical information processing unit 421 is used for the reporting information processing unit 323, the medical information acquisition processing unit 121 is used for the reporting information acquisition processing unit 222, the shared medical information transmission processing unit 124 is used for the shared reporting information transmission processing unit 224, and shared medical information acquisition is performed. By replacing the processing unit 223 with the shared reporting information acquisition processing unit 123, it can be regarded as substantially the same processing. For this reason, steps 3001 to 3007 will be described in particular with respect to differences from the processing according to steps 1001 to 1007.

(Step 3001)
In step 3001, the report information processing unit 323 of the patient side terminal 3 accepts input of report information D5. For example, the patient inputs the reporting information D5 via an input device connected to the patient terminal 3. When the input is completed, the process proceeds to the next step 3002.

  Here, the report information D5 is, for example, information on the symptoms that are present, the medication status, or the medication that is being taken. So, for example, about the symptoms that are manifested, “I have fever”, “I do n’t stop coughing”, “I do n’t stop my runny nose”, “I sneeze”, “I have a sore throat”, or “I have a pain in my head” An option in which specific symptoms are standardized may be presented on the display device of the patient terminal 3. And report information D5 may be inputted because a patient chooses these choices. This also applies to the information regarding the medication status or the medication being taken. Further, the information on the medicine taken may be image data obtained by reading the contents of the prescription or the instruction of the medicine with a device such as a scanner. Further, the information on the medicine taken may be character data obtained by performing OCR (Optical Character Reader) processing on the image data. The reporting information D5 may include a time stamp indicating the time when the information is created.

(Step 3002)
In step 3002, the report information processing unit 323 performs a transmission process of the report information D5 acquired in step 3001. After the transmission process, the process proceeds to the next step 3003.

(Step 3003)
In step 3003, the reporting information collection device 2 acquires reporting information D5. In the present embodiment, the report information acquisition processing unit 222 receives the report information D5 transmitted from the patient side terminal 3, thereby acquiring the report information D5. When the reporting information D5 is acquired, the process proceeds to the next step 3004. The acquisition of the report information D5 may be acquired by a method other than the present embodiment, similar to the acquisition of the medical information D2 in step 1003.

(Step 3004)
In step 3004, report information D5 is accumulated. In the present embodiment, the reporting information acquisition processing unit 222 stores the reporting information D5 acquired in Step 3003 in the reporting information collection device 2 in the storage unit 22 in association with the patient identifier ID1. When the reporting information D5 is stored in the storage unit 22, the process proceeds to the next step 3005.

In the present embodiment, the reporting information D5 and the patient identifier ID1 are associated with each other by including the reporting information D5 and the patient identifier ID1 in one registration information 211. Therefore, the report information acquisition processing unit 222 specifies the registration information 211 to which the report information D5 should be added by specifying the patient registration information 211 related to the report information D5 acquired in step 3003. For example, by using the patient identifier ID1 specified by the report information processing unit 323 of the patient side terminal 3, the report information acquisition processing unit 222 may specify the registration information 211 to which the report information D5 should be added. it can.

  Here, the reporting information acquisition processing unit 222 may specify the registration information 211 to which the reporting information D5 should be added by using the private identifier ID2 designated by the reporting information processing unit 323. However, in this case, the specified registration information 211 may not include the patient identifier ID1. The registration information 211 is registration information of a patient for whom the patient identifier ID1 has not been issued in the medical information collection device 1.

(Step 3005)
In step 3005, it is determined in the reporting information collection device 2 whether or not the patient identifier ID1 is registered. In order to transmit the shared reporting information D3 to the medical information collection device 1, the shared reporting information transmission processing unit 224 determines whether the registration information 211 to which the reporting information D5 is added in step 3004 includes the patient identifier ID1. Made. If the patient identifier ID1 is included in the registration information 211 to which the reporting information D5 is added in step 3004, the process proceeds to the next step 3006. On the other hand, if the registration information 211 to which the reporting information D5 is added in step 3004 does not include the patient identifier ID1, the process ends.

(Step 3006)
In step 3006, the shared report information transmission processing unit 224 executes a transmission process related to the shared report information D 3 for the report information D 5 from the report information collection device 2 to the medical information collection device 1. In the present embodiment, the shared report information transmission processing unit 224 creates and transmits the shared report information D3 for the report information D5 acquired in step 3003.

  The shared report information D3 is at least part of the report information D5. The reporting information D5 is information related to the medication or symptom reported by the patient, and is, for example, information on the symptom that is occurring, the medication status, or the medication being taken.

  Here, for example, information to be included in the shared report information D3 is set for a plurality of types of information included in the report information D5. For example, information to be included in the shared declaration information D3 among a plurality of types of information included in the declaration information D5 according to the setting such that the medication status included in the declaration information D5 is information to be included in the shared declaration information D3. Is specified. The shared report information transmission processing unit 224 creates shared report information D3 according to the setting, and transmits the created shared report information D3 to the medical information collection device 1.

(Step 3007)
In step 3007, the shared report information acquisition processing unit 123 accumulates the shared report information D 3 in the medical information collection device 1. When the process related to the accumulation is completed, a series of processes related to the report information D5 in the present embodiment ends. The identification of the patient information 111 to which the shared report information D3 is added is performed using the patient identifier ID1.

(Other)
In addition, the timing (step 3005-step 3007) for acquiring the shared report information D3 and the acquisition destination of the shared report information D3 can be described in the same manner as the processes according to steps 1005 to 1007.

The process for acquiring the shared reporting information D3 may be executed periodically, or in response to a request for transmission of the shared reporting information D3 from the medical information collection device 1 to the reporting information collection device 2. May be executed. Further, the shared report information D3 may be acquired from the patient side terminal 3.
<Other operations>
In this embodiment, the medical information D2 provided in the medical information collection device 1 is used by a medical worker (for example, a doctor or a pharmacist) engaged in a medical service facility. The medical staff connects to the medical information collection device 1 from the medical provider side terminal 4. Then, the medical staff acquires desired medical information D2 (patient information 111) from the medical information collection device 1. Such processing is mainly realized by the information providing unit 125 of the medical information collection device 1.

  For example, when a medical worker operates the medical provision side terminal 4, the personal information D1 of the patient related to information provision is designated. The information providing unit 125 searches the patient information 111 stored in the storage unit 12 for the patient information 111 including the personal information D1 related to the designation. Then, as a result of the search, the information providing unit 125 provides the patient's medical information by transmitting the corresponding patient information 111 to the medical providing terminal 4.

  Here, the provided patient information 111 includes shared report information D3. For example, the shared report information D3 includes information indicating the patient's medication status. Therefore, the health care worker can use the information provided by the information processing system 5 in the present embodiment, in addition to medical information, for example, the medication status of the medicine prescribed by the patient, or the medication status of the drug purchased by the patient himself / herself. Can know.

  It should be noted that when providing a request for providing information from the healthcare provider side terminal 4, the healthcare provider identifier ID3 may be specified. In this case, the information providing unit 125 identifies the medical service facility in which the medical staff involved in the request for information service is engaged, removes the portion created in the medical service facility other than the specified medical service facility, and then performs the medical service. Information D2 may be provided.

  For example, a table indicating the correspondence relationship between the medical worker identifier ID3 and the medical service facility may be used to identify the medical service facility that the medical worker is engaged in. The table is stored in the storage unit 12. The medical information D2 may include information indicating the medical service facility where the medical information D2 is created. Thus, when the health care provider identifier ID3 is designated, the information providing unit 125 may identify the health care facility where the health care worker related to the designated health care worker identifier ID3 is engaged from the table. it can. And the information provision part 125 is based on the specified medical provision facility and the information which shows the medical provision facility where the said medical information D2 was created in the medical information D2, and the medical worker who concerns on the request | requirement of information provision The medical information D2 that can be provided to can be specified.

  The medical information D2 may be associated with a medical worker identifier ID3 related to a medical worker who can view the medical information D2. Thereby, the information provision part 125 can specify the medical information D2 which can be provided to the medical worker who concerns on the said medical worker identifier ID3, if identifier ID3 for medical workers is designated.

  Moreover, in this embodiment, it goes without saying that the report information D5 provided in the report information collecting apparatus 2 can be used by the patient himself, but in particular, a person who restricts the use of the patient's personal information (for example, a pharmaceutical company's Used by employees). For example, a person whose use of personal information of patients is restricted connects to the reporting information collection device 2 from his / her information processing terminal. Then, the person whose use of the patient's personal information is restricted obtains desired report information D5 (for example, information obtained by removing the patient identifier ID1 and the private identifier ID2 from the registration information 211) from the report information collection device 2. To do. Such processing is mainly realized by the information providing unit 225 of the reporting information collection device 2.

For example, a person who is restricted in the use of the patient's personal information operates the patient's information processing terminal to specify the patient attribute condition of the patient related to the information provision. The information providing unit 225 identifies the registration information 211 including the patient attribute D4 corresponding to the condition from the registration information 211 stored in the storage unit 21 based on the designated patient attribute condition. Then, the information providing unit 225 removes information that is not desired to be disclosed to the unspecified majority, such as the patient identifier ID1 and the private identifier ID2, from the specified registration information 211. After removing the information that regret is not desired, the information providing unit 225 provides the patient's reporting information by transmitting the specified registration information 211 to the information processing terminal that requested the provision of the information.

  Here, the provided registration information 211 includes patient attributes that cannot uniquely identify a patient but can be used for statistical processing. The provided registration information 211 includes shared medical information D6 that is at least part of the medical information stored in the medical information collection device 1. Therefore, a person who restricts the use of the patient's personal information can use at least a part of the medical information together with the report information reported by the patient. Further, a person who is restricted from using personal information of a patient can statistically process the report information and at least a part of the medical information based on patient attributes.

§4 Modifications In this embodiment, three identifiers, i.e., a patient identifier ID1, a private identifier ID2, and a medical worker identifier ID3, are used to identify a patient and a medical worker. Therefore, for example, a patient or a medical worker who uses the medical information collection device 1 or the report information collection device 2 may be authenticated by combining a password with the three identifiers.

  In the present embodiment, the medical information D2 and the report information D5 are shared between the medical information collection device 1 and the report information collection device 2. Therefore, the medical information collection device 1 and the reporting information collection device 2 may be connected to an administrator terminal of a system administrator related to the information. At this time, for example, the system administrator accesses the medical information collection device 1 and the reporting information collection device 2 using the manager identifier, and stores the medical information D2 (shared medical information D6) and reporting information stored in both devices. D5 (shared declaration information D3) may be compared to manage whether an error has occurred.

  In issuing the patient identifier ID1, the private identifier ID2, and the medical worker identifier ID3 used in the present embodiment, an approval process from the administrator terminal of the system administrator may be provided. In this case, for example, when each identifier is issued in each device, each device notifies the administrator terminal that the identifier is issued. Then, in response to the notification, an approval notification is returned from the administrator terminal, whereby each device issues an identifier.

DESCRIPTION OF SYMBOLS 1 Medical information collection apparatus 2 Declaration information collection apparatus 3 Patient side terminal 4 Medical supply side terminal 5 Information processing system 11, 21, 31, 41 Storage part 12, 22, 32, 42 Control part 14, 24, 34, 44 Input / output Unit 111 Patient information 121 Medical information acquisition processing unit 122 Patient identifier issuing unit 123 Shared reporting information acquisition processing unit 124 Shared medical information transmission processing unit 125, 225 Information providing unit 211 Registration information 221 Patient identifier registration processing unit 222 Reporting information acquisition Processing unit 223 Shared medical information acquisition processing unit 224 Shared reporting information transmission processing unit 225 Information providing unit 226 Private identifier issuing unit 321 Issuing request unit 322 Registration requesting unit 323 Declaring information processing unit 421 Medical information processing unit D1 Personal information D2 Medical information D3 Shared report information D4 Patient attributes D5 Report information D6 Shared medical information ID1 Patient information Child ID2 identifier for the private identifier ID3 health care workers

Claims (14)

A health care provider's terminal where the health care professional creates input of medical information for the patient;
A patient-side terminal for inputting reporting information related to the medication or symptoms reported by the patient;
A reporting information collection device for collecting the reporting information;
A medical information collection device for collecting the medical information;
An information processing system including
Means for accepting input of the medical information in the medical provider side terminal;
Means for transmitting the medical information related to the input to the medical information collection device in the medical provider side terminal;
Means for receiving the medical information transmitted from the medical provider side terminal in the medical information collection device;
In the medical information collection device, means for storing the received medical information in association with personal information that can uniquely identify the patient;
In the patient terminal, means for requesting the medical information collection device to issue a patient identifier for identifying the patient in the reporting information collection device;
In the medical information collection device, in response to the request from the patient terminal, means for issuing the patient identifier in association with the personal information;
In the patient terminal, means for requesting the reporting information collection device to register the patient identifier issued by the medical information collection device;
In the reporting information collection device, the patient identifier can be used for statistical processing in response to the request from the patient-side terminal and is associated with a patient attribute that cannot uniquely identify the patient. Means for registering,
Means for accepting input of the reporting information in the patient terminal;
In the patient side terminal, means for transmitting the reporting information related to the input to the reporting information collecting device;
In the reporting information collection device, means for receiving the reporting information transmitted from the patient side terminal;
In the reporting information collection device, means for storing the received reporting information in association with the patient identifier registered by the patient related to the received reporting information;
In the reporting information collection device, the medical information accumulated in the medical information collection device for the patient identified by the registered patient identifier and specified by personal information corresponding to the registered patient identifier. Means for obtaining at least part of the information;
In the reporting information collection device, at least a part of the medical information acquired for the patient identified by the registered patient identifier and specified by the personal information corresponding to the registered patient identifier. Means for storing in association with the registered identifier for the patient;
An information processing system comprising: In the means for acquiring at least a part of the medical information, the medical information accumulated in the medical information collection device is included in the medical information collecting apparatus as at least a part of the medical information, and The information processing system according to claim 1, wherein difference information not included is acquired. In the medical information collection device, at least a part of the reporting information stored in the reporting information collection device for the patient specified by the personal information and identified by the patient identifier corresponding to the personal information Means for obtaining the information of
In the medical information collection device, at least a part of the report information acquired for the patient specified by the personal information and identified by the patient identifier corresponding to the personal information is the personal information. Means for storing in association with,
The information processing system according to claim 1, further comprising: In the means for obtaining at least a part of the report information, at least a part of the report information is included in the report information accumulated in the report information collection device and stored in the stored medical information. The information processing system according to claim 3, wherein difference information not included is acquired. Means for obtaining medical information created by a healthcare worker for a patient;
Means for storing the medical information in association with personal information capable of uniquely identifying the patient;
In the reporting information collection device that collects reporting information related to medication or symptoms reported by the patient, when acquiring at least part of the medical information stored in association with the personal information, the individual Patient identifier used for identifying the patient instead of information, which can be used for statistical processing in the reporting information collection device and cannot uniquely identify the patient And means for issuing a patient identifier associated with the personal information associated with at least a part of the medical information and the reporting information;
A medical information collecting apparatus comprising: In the means for accumulating the medical information, the medical information is associated with personal information commonly used for the patient in different medical service facilities, so that the same patient created in the different medical service facility The medical information collection apparatus according to claim 5, wherein a plurality of pieces of medical information are integrated into one piece of medical information. Means for identifying a medical service facility in which the medical worker is engaged based on an identifier for the medical worker for identifying the medical worker;
Means for providing the one piece of integrated medical information after removing a part created in a medical service facility other than the specified medical service facility;
The medical information collection device according to claim 6, further comprising: An identifier for a patient issued in association with the personal information in a medical information collection device that accumulates medical information created by the medical staff for the patient instead of personal information that can uniquely identify the patient Can be used for statistical processing and registered in association with a patient attribute that cannot uniquely identify the patient;
Means for obtaining reporting information related to medication or symptoms reported by the patient;
Means for storing the acquired reporting information in association with the patient identifier registered by the patient related to the acquired reporting information;
For the patient identified by the registered patient identifier and specified by the personal information corresponding to the registered patient identifier, at least a part of the medical information stored in the medical information collection device Means to obtain,
The patient identifier registered with at least a part of the medical information acquired for the patient identified by the registered patient identifier and specified by the personal information corresponding to the registered patient identifier Means for storing in association with,
A reporting information collecting device comprising: Means for issuing a private identifier for identifying the patient;
Means for associating the patient identifier issued to the same patient with the private identifier;
The declaration information collection device according to claim 8 provided with. In patient terminal,
When the reporting information collection device that collects reporting information related to the medication or symptoms reported by the patient obtains at least a part of the medical information about the patient created by the health care professional, the patient is An identifier for a patient used in place of personal information that can uniquely identify the patient for identification, can be used for statistical processing in the reporting information collection device, and uniquely identifies the patient Requesting a medical information collection device that collects the medical information to issue a patient identifier associated with a patient attribute that cannot be identified and at least part of the information of the medical information;
Requesting the reporting information collection device to register the patient identifier issued in the medical information collection device;
Receiving an input of the reporting information;
In the reporting information collection device, transmitting the reporting information related to the input, which is associated with the patient identifier issued by the medical information collection device, to the reporting information collection device 2;
A program for the terminal on the patient side to execute Medical information collection device
Obtaining medical information created by a healthcare worker for a patient;
Storing the medical information in association with personal information that can uniquely identify the patient;
In the reporting information collection device that collects reporting information related to medication or symptoms reported by the patient, when acquiring at least part of the medical information stored in association with the personal information, the individual Patient identifier used for identifying the patient instead of information, which can be used for statistical processing in the reporting information collection device and cannot uniquely identify the patient And issuing a patient identifier associated with at least a part of the medical information and the reporting information in association with the personal information;
Perform medical information collection method. Medical information collection device
Obtaining medical information created by a healthcare worker for a patient;
Storing the medical information in association with personal information that can uniquely identify the patient;
In the reporting information collection device that collects reporting information related to medication or symptoms reported by the patient, when acquiring at least part of the medical information stored in association with the personal information, the individual Patient identifier used for identifying the patient instead of information, which can be used for statistical processing in the reporting information collection device and cannot uniquely identify the patient And issuing a patient identifier associated with at least a part of the medical information and the reporting information in association with the personal information;
Medical information collection program to make it run. The reporting information collection device
An identifier for a patient issued in association with the personal information in a medical information collection device that accumulates medical information created by the medical staff for the patient instead of personal information that can uniquely identify the patient Can be used for statistical processing and registered in association with a patient attribute that cannot uniquely identify the patient;
Obtaining reporting information related to medication or symptoms reported by the patient;
Storing the acquired reporting information in association with the registered patient identifier of the patient related to the acquired reporting information;
For the patient identified by the registered patient identifier and specified by the personal information corresponding to the registered patient identifier, at least a part of the medical information stored in the medical information collection device A step to obtain,
The patient identifier registered with at least a part of the medical information acquired for the patient identified by the registered patient identifier and specified by the personal information corresponding to the registered patient identifier Storing in association with
How to collect return information. In the reporting information collection device,
An identifier for a patient issued in association with the personal information in a medical information collection device that accumulates medical information created by the medical staff for the patient instead of personal information that can uniquely identify the patient Can be used for statistical processing and registered in association with a patient attribute that cannot uniquely identify the patient;
Obtaining reporting information related to medication or symptoms reported by the patient;
Storing the acquired reporting information in association with the registered patient identifier of the patient related to the acquired reporting information;
For the patient identified by the registered patient identifier and specified by the personal information corresponding to the registered patient identifier, at least a part of the medical information stored in the medical information collection device A step to obtain,
The patient identifier registered with at least a part of the medical information acquired for the patient identified by the registered patient identifier and specified by the personal information corresponding to the registered patient identifier Storing in association with
Report information collection program to execute.

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